Nitin Kumar, MD - Medicare Gastroenterology in Effingham, IL

Nitin Kumar, MD is a medicare enrolled "Internal Medicine - Gastroenterology" physician in Effingham, Illinois. He graduated from medical school in 2007 and has 17 years of diverse experience with area of expertise as Gastroenterology. He is a member of the group practice Hshs Medical Group Inc and his current practice location is 900 W Temple Ave Ste 2500, Effingham, Illinois. You can reach out to his office (for appointments etc.) via phone at (217) 540-2350.

Nitin Kumar is licensed to practice in Illinois (license number 036-134693) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1104002245.

Contact Information

Nitin Kumar, MD
900 W Temple Ave Ste 2500,
Effingham, IL 62401-2121
(217) 540-2350
(217) 347-2323

Map and Direction




Physician's Profile

Full NameNitin Kumar
GenderMale
SpecialityGastroenterology
Experience17 Years
Location900 W Temple Ave Ste 2500, Effingham, Illinois
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Nitin Kumar graduated from medical school in 2007
  NPI Data:
  • NPI Number: 1104002245
  • Provider Enumeration Date: 01/18/2008
  • Last Update Date: 12/20/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 9335391564
  • Enrollment ID: I20170615000245

Medical Identifiers

Medical identifiers for Nitin Kumar such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104002245NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 036-134693 (Illinois)Secondary
207RG0100XInternal Medicine - Gastroenterology 247910 (Massachusetts)Secondary
207RG0100XInternal Medicine - Gastroenterology 036-134693 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Anthonys Memorial HospitalEffingham, ILHospital
Fayette County HospitalVandalia, ILHospital
Clay County HospitalFlora, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Hshs Medical Group Inc5092857821225

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Nitin Kumar allows following entities to bill medicare on his behalf.
Entity NameHshs Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962644807
PECOS PAC ID: 5092857821
Enrollment ID: O20100116000275

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nitin Kumar is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Nitin Kumar, MD
900 W Temple Ave Ste 2500,
Effingham, IL 62401-2121

Ph: (217) 540-2350
Nitin Kumar, MD
900 W Temple Ave Ste 2500,
Effingham, IL 62401-2121

Ph: (217) 540-2350

Reviews and Comments


Internal Medicine Doctors in Effingham, IL

Dr. Lizzette Colon-ramos, M.D.
Gastroenterology
Medicare: Medicare Enrolled
Practice Location: 1901 S 4th St, Ste 21, Va Effingham Cboc, Effingham, IL 62401
Phone: 217-347-7600    Fax: 217-342-9733
Chariece Lasalle Robinson, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 503 N Maple St, Effingham, IL 62401
Phone: 217-347-6127    Fax: 217-347-1538
Dr. Rita Waleska Maldonado, M.D.
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Medicare: Medicare Enrolled
Practice Location: 1011 Ford Ave, Effingham, IL 62401
Phone: 217-347-7600    
Dr. Jennifer C Maneja, MD
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 300 N Maple St, Effingham, IL 62401
Phone: 217-342-4151    Fax: 217-347-8955
Howard B Chodash, M.D.
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 900 W Temple Ave Ste 2500, Effingham, IL 62401
Phone: 217-540-2350    Fax: 217-347-2323
Dr. Jessica Jean Prange, M.D.
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 503 N Maple St, Effingham, IL 62401
Phone: 217-342-2121    Fax: 217-347-1563

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.